Best Practices for Managing Pain, Sedation, and Delirium in the Mechanically Ventilated Patient

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Nursing management of pain, agitation, and delirium in mechanically ventilated patients is a challenge in critical care. Oversedation can lead to delayed extubation, prolonged ventilator days, unnecessary neurologic testing, and complications such as weakness and delirium. Undersedation can lead to self-extubation, invasive line removal, unnecessary patient distress, and injury to self or others. Acquiring an optimal level of sedation requires the bedside nurse to be more vigilant than ever with patient assessment and medication titration. This article provides a historical perspective of the management of pain, agitation, and delirium, and disseminates information contained in revised Society for Critical Care Medicine Clinical Practice Guidelines (January 2013) to promote their implementation in day-to-day nursing care.

Original languageEnglish (US)
Pages (from-to)437-450
Number of pages14
JournalCritical care nursing clinics of North America
Volume28
Issue number4
DOIs
StatePublished - Dec 1 2016

Fingerprint

Delirium
Practice Guidelines
Pain Management
Critical Care
Pain
Clinical Medicine
Mechanical Ventilators
Nursing Care
Nervous System
Nursing
Nurses
Wounds and Injuries

Keywords

  • ABCDEF Bundle
  • Agitation
  • Delirium
  • Mechanical ventilation
  • PAD Bundle
  • Pain
  • SCCM clinical practice guidelines
  • Sedation

ASJC Scopus subject areas

  • Critical Care

Cite this

Best Practices for Managing Pain, Sedation, and Delirium in the Mechanically Ventilated Patient. / Garrett, Mary K.

In: Critical care nursing clinics of North America, Vol. 28, No. 4, 01.12.2016, p. 437-450.

Research output: Contribution to journalReview article

@article{2a4504a8ece8456c8d4757616f25c852,
title = "Best Practices for Managing Pain, Sedation, and Delirium in the Mechanically Ventilated Patient",
abstract = "Nursing management of pain, agitation, and delirium in mechanically ventilated patients is a challenge in critical care. Oversedation can lead to delayed extubation, prolonged ventilator days, unnecessary neurologic testing, and complications such as weakness and delirium. Undersedation can lead to self-extubation, invasive line removal, unnecessary patient distress, and injury to self or others. Acquiring an optimal level of sedation requires the bedside nurse to be more vigilant than ever with patient assessment and medication titration. This article provides a historical perspective of the management of pain, agitation, and delirium, and disseminates information contained in revised Society for Critical Care Medicine Clinical Practice Guidelines (January 2013) to promote their implementation in day-to-day nursing care.",
keywords = "ABCDEF Bundle, Agitation, Delirium, Mechanical ventilation, PAD Bundle, Pain, SCCM clinical practice guidelines, Sedation",
author = "Garrett, {Mary K.}",
year = "2016",
month = "12",
day = "1",
doi = "10.1016/j.cnc.2016.07.004",
language = "English (US)",
volume = "28",
pages = "437--450",
journal = "Critical Care Nursing Clinics of North America",
issn = "0899-5885",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - Best Practices for Managing Pain, Sedation, and Delirium in the Mechanically Ventilated Patient

AU - Garrett, Mary K.

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Nursing management of pain, agitation, and delirium in mechanically ventilated patients is a challenge in critical care. Oversedation can lead to delayed extubation, prolonged ventilator days, unnecessary neurologic testing, and complications such as weakness and delirium. Undersedation can lead to self-extubation, invasive line removal, unnecessary patient distress, and injury to self or others. Acquiring an optimal level of sedation requires the bedside nurse to be more vigilant than ever with patient assessment and medication titration. This article provides a historical perspective of the management of pain, agitation, and delirium, and disseminates information contained in revised Society for Critical Care Medicine Clinical Practice Guidelines (January 2013) to promote their implementation in day-to-day nursing care.

AB - Nursing management of pain, agitation, and delirium in mechanically ventilated patients is a challenge in critical care. Oversedation can lead to delayed extubation, prolonged ventilator days, unnecessary neurologic testing, and complications such as weakness and delirium. Undersedation can lead to self-extubation, invasive line removal, unnecessary patient distress, and injury to self or others. Acquiring an optimal level of sedation requires the bedside nurse to be more vigilant than ever with patient assessment and medication titration. This article provides a historical perspective of the management of pain, agitation, and delirium, and disseminates information contained in revised Society for Critical Care Medicine Clinical Practice Guidelines (January 2013) to promote their implementation in day-to-day nursing care.

KW - ABCDEF Bundle

KW - Agitation

KW - Delirium

KW - Mechanical ventilation

KW - PAD Bundle

KW - Pain

KW - SCCM clinical practice guidelines

KW - Sedation

UR - http://www.scopus.com/inward/record.url?scp=84994834947&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994834947&partnerID=8YFLogxK

U2 - 10.1016/j.cnc.2016.07.004

DO - 10.1016/j.cnc.2016.07.004

M3 - Review article

C2 - 28236391

AN - SCOPUS:84994834947

VL - 28

SP - 437

EP - 450

JO - Critical Care Nursing Clinics of North America

JF - Critical Care Nursing Clinics of North America

SN - 0899-5885

IS - 4

ER -